Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $120.00 / $169.61	Professional		$65.51	$120.00	$169.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $382.73 / $382.73	Professional	50	$342.67	$382.73	$382.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $205.25 / $246.30	Professional		$165.88	$205.25	$246.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $124.23 / $208.52	Professional		$105.05	$124.23	$208.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $174.05 / $205.25	Professional		$77.59	$174.05	$205.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $205.25 / $211.19	Professional		$153.97	$205.25	$211.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $85.96 / $182.40	Professional		$29.27	$85.96	$182.40